OrganizationActive
Hopebridge LLC
NPI 1659039956 · Child & Adolescent Psychiatry Physician · Moore, OK
Provider details
- NPI number
- 1659039956
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Graff, Contracting & Credentialing Manager(317) 376-8336
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Practice location
146 Sw 134th Street
Moore, OK 73170-1488
Phone: (855) 324-0885
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Additional practice locations (1)
- 127 Goodview WayGallatin, TN 37066-3114Phone: (855) 234-0885
Registry dates
- Enumerated
- 2021-12-03
- Last updated
- 2022-03-03
- Certified
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.